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Evaluate the Safety, Tolerability, Pharmacokinetics,and Clinical Activity of FB704A

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
FB704A
Placebo
Sponsored by
Fountain Biopharma Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects must provide written informed consent.
  • No significant clinical, cardiac or physical abnormalities (Part 1 of study).
  • Diagnosis of Rheumatoid Arthritis as defined by 2010 revised American College of Rheumatology (ACR) more than 3 months prior to start of study (Part 2 of study).
  • If using oral corticosteroids (prednisone ≤ 10mg or equivalent) and/or NSAIDS, subjects must be on stable dose(s) for at least 14 days prior to start of Part 2 of study and dose must be expected to remain stable through end of Part 2 of study.
  • Subjects must be being treated with 1 or a combination of disease modifying antirheumatic drugs (DMARDs) methotrexate, leflunomide, sulfasalazine, and/or hydroxychloroquine (but not simultaneous use of leflunomide and methotrexate), at any dose for at least 28 days prior to start of Part 2 of study and on a stable dose(s) for at least 14 days prior to start of Part 2 of study.
  • Subjects with documented RA that meet all inclusion criteria but are not taking DMARDs may be permitted in Part 2 of the study at the discretion of an investigator.
  • Women of childbearing potential must agree to use one of the accepted contraceptive regimens from at least 30 days prior to first administration of the study medication, during the study, and for at least 60 days after last dose of the study medication.
  • Women of non-childbearing potential should be surgically sterile or in a menopausal state (at least 1 year without menses).
  • All males must agree to use highly effective contraception and to not donate sperm throughout the study and for 90 days following last dose of study medication.
  • Subjects must have a body weight ≥ 50 kg at screening and a body mass index (BMI) of 19.0 to 30.0 kg/m2, inclusive (Part 2 of study).
  • Subjects must have not smoked or used any nicotine products for at least 3 months before screening (Part 1 of study).

Exclusion Criteria:

  • Women who are pregnant or lactating.
  • Subject has a past history of, or a history of risk factors for, heart arrhythmias or long QT syndrome.
  • Subject has recurrent chronic serious infection, or has had a serious infection within 60 days of start of study.
  • Subject has latent or active tuberculosis.
  • Subject has received any live attenuated vaccine (e.g. varicella-zoster, oral polio, rabies, flu vaccine) within 3 months of start of study.
  • Subject has received any biological drug or blood product within 3 months or 5 half-lives of start of study; or has received any other study drug within 30 days or 5 half-lives of start of study.
  • Subject has previously been treated with any biologic, anti-interleukin-6 (anti-IL-6) or interleukin-6 receptor (IL-6) antagonist and/or has previous exposure to the study drug.
  • Subjects with a documented history of an autoimmune disease other than rheumatoid arthritis or secondary Sjogren's syndrome.

Other protocol-defined inclusion/exclusion criteria could apply.

Sites / Locations

  • Altasciences Clinical Kansas, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort A

Cohort B

Cohort C

Cohort D

Cohort E

Arm Description

0.5 mg/kg study drug, or placebo, administered once

2 mg/kg study drug, or placebo, administered once

4 mg/kg study drug, or placebo, administered once

8 mg/kg study drug, or placebo, administered once

Starting dose of 2 mg/kg or approximately half the maximum tolerated dose (MTD) in Part 1 (Cohorts A-D), whichever is lower, up to 4 mg/kg; or placebo. Administered 4 times (approximately once every 2 weeks).

Outcomes

Primary Outcome Measures

Incidence of Adverse Events (AEs) (Part 1)
Incidence of Adverse Events (AEs) (Part 2)
Number of participants with clinical laboratory abnormalities (Part 1)
Number of participants with clinical laboratory abnormalities (Part 1)
Number of participants with physical examination abnormalities (Part 1)
Number of participants with physical examination abnormalities (Part 2)
Number of participants with dose limiting toxicities (DLT) (Part 1)
Number of participants with dose limiting toxicities (DLT) (Part 2)

Secondary Outcome Measures

Full Information

First Posted
March 25, 2019
Last Updated
July 17, 2020
Sponsor
Fountain Biopharma Inc.
Collaborators
Oneness Biotech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03890302
Brief Title
Evaluate the Safety, Tolerability, Pharmacokinetics,and Clinical Activity of FB704A
Official Title
A Phase 1, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Clinical Activity of Single and Multiple Ascending Doses of FB704A
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
March 14, 2019 (Actual)
Primary Completion Date
May 27, 2020 (Actual)
Study Completion Date
May 27, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fountain Biopharma Inc.
Collaborators
Oneness Biotech Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The cause of Rheumatoid Arthritis (RA) is not fully understood. However, one of the substances secreted by certain cells in the body, interleukin-6 (IL-6), is believed to play a major role in chronic inflammation that is typical in RA. This study investigates the drug FB704A, which is believed to lower the inflammation caused by IL-6. This study will be in 2 sequential parts: a single increasing dose part (Part 1) and a multiple-increasing dose part (Part 2). Subjects will receive either active or placebo drug by IV infusion. Subjects in both parts will have a short stay in the clinic at the start of the study, then will return for outpatient visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort A
Arm Type
Experimental
Arm Description
0.5 mg/kg study drug, or placebo, administered once
Arm Title
Cohort B
Arm Type
Experimental
Arm Description
2 mg/kg study drug, or placebo, administered once
Arm Title
Cohort C
Arm Type
Experimental
Arm Description
4 mg/kg study drug, or placebo, administered once
Arm Title
Cohort D
Arm Type
Experimental
Arm Description
8 mg/kg study drug, or placebo, administered once
Arm Title
Cohort E
Arm Type
Experimental
Arm Description
Starting dose of 2 mg/kg or approximately half the maximum tolerated dose (MTD) in Part 1 (Cohorts A-D), whichever is lower, up to 4 mg/kg; or placebo. Administered 4 times (approximately once every 2 weeks).
Intervention Type
Drug
Intervention Name(s)
FB704A
Intervention Description
Administered by IV infusion
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Identical in appearance and same excipients as FB704A, but without active compound. Administered by IV infusion
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs) (Part 1)
Time Frame
Up to Day 57
Title
Incidence of Adverse Events (AEs) (Part 2)
Time Frame
Up to Day 99
Title
Number of participants with clinical laboratory abnormalities (Part 1)
Time Frame
Up to Day 57
Title
Number of participants with clinical laboratory abnormalities (Part 1)
Time Frame
Up to Day 99
Title
Number of participants with physical examination abnormalities (Part 1)
Time Frame
Up to Day 57
Title
Number of participants with physical examination abnormalities (Part 2)
Time Frame
Up to Day 99
Title
Number of participants with dose limiting toxicities (DLT) (Part 1)
Time Frame
Up to Day 57
Title
Number of participants with dose limiting toxicities (DLT) (Part 2)
Time Frame
Up to Day 99

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must provide written informed consent. No significant clinical, cardiac or physical abnormalities (Part 1 of study). Diagnosis of Rheumatoid Arthritis as defined by 2010 revised American College of Rheumatology (ACR) more than 3 months prior to start of study (Part 2 of study). If using oral corticosteroids (prednisone ≤ 10mg or equivalent) and/or NSAIDS, subjects must be on stable dose(s) for at least 14 days prior to start of Part 2 of study and dose must be expected to remain stable through end of Part 2 of study. Subjects must be being treated with 1 or a combination of disease modifying antirheumatic drugs (DMARDs) methotrexate, leflunomide, sulfasalazine, and/or hydroxychloroquine (but not simultaneous use of leflunomide and methotrexate), at any dose for at least 28 days prior to start of Part 2 of study and on a stable dose(s) for at least 14 days prior to start of Part 2 of study. Subjects with documented RA that meet all inclusion criteria but are not taking DMARDs may be permitted in Part 2 of the study at the discretion of an investigator. Women of childbearing potential must agree to use one of the accepted contraceptive regimens from at least 30 days prior to first administration of the study medication, during the study, and for at least 60 days after last dose of the study medication. Women of non-childbearing potential should be surgically sterile or in a menopausal state (at least 1 year without menses). All males must agree to use highly effective contraception and to not donate sperm throughout the study and for 90 days following last dose of study medication. Subjects must have a body weight ≥ 50 kg at screening and a body mass index (BMI) of 19.0 to 30.0 kg/m2, inclusive (Part 2 of study). Subjects must have not smoked or used any nicotine products for at least 3 months before screening (Part 1 of study). Exclusion Criteria: Women who are pregnant or lactating. Subject has a past history of, or a history of risk factors for, heart arrhythmias or long QT syndrome. Subject has recurrent chronic serious infection, or has had a serious infection within 60 days of start of study. Subject has latent or active tuberculosis. Subject has received any live attenuated vaccine (e.g. varicella-zoster, oral polio, rabies, flu vaccine) within 3 months of start of study. Subject has received any biological drug or blood product within 3 months or 5 half-lives of start of study; or has received any other study drug within 30 days or 5 half-lives of start of study. Subject has previously been treated with any biologic, anti-interleukin-6 (anti-IL-6) or interleukin-6 receptor (IL-6) antagonist and/or has previous exposure to the study drug. Subjects with a documented history of an autoimmune disease other than rheumatoid arthritis or secondary Sjogren's syndrome. Other protocol-defined inclusion/exclusion criteria could apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Martin Kankam, MD
Organizational Affiliation
Altasciences Clinical Kansas, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Altasciences Clinical Kansas, Inc.
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www.fda.gov/Safety/Recalls
Description
FDA Safety Alerts and Recalls

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Evaluate the Safety, Tolerability, Pharmacokinetics,and Clinical Activity of FB704A

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